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1790119360
JEREMIAH WATSON
LITTLE ROCK, AR
NPI
1790119360
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-08-30
Last Update Date
2013-08-30
Business Address
-- JEREMIAH WATSON
6501 W 12TH ST
LITTLE ROCK, AR 72204-1511
Phone number: 501-666-8686
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Mailing Address
-- JEREMIAH WATSON
PO BOX 251970
LITTLE ROCK, AR 72225-1970
Phone number:
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